<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
<div class="wrapper wrapper-content ">
    <div class="row">
        <div class="col-sm-12">
            <div class="ibox float-e-margins">
                <div class="pull-right search col-md-2 nopadding">
                    <input id="parameterType" name="parameterType" th:value="${type}" type="hidden">
                </div>
                <div class="ibox-content">
                    <form class="form-horizontal m-t" id="signupForm">

                        <div class="form-group">
                            <label class="col-sm-3 control-label">设备编号：</label>
                            <div class="col-sm-8">
                                <input id="medicalDeviceNum" name="medicalDeviceNum"    class="form-control" type="text" required>
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-3 control-label">位置编号：</label>
                            <div class="col-sm-8">
                                <input id="locationId" name="locationId"    class="form-control" type="text" required>
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-3 control-label">机器序列号：</label>
                            <div class="col-sm-8">
                                <input id="medicalDeviceSerialNum" name="medicalDeviceSerialNum"  class="form-control" type="text" required>
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-3 control-label">品牌：</label>
                            <div class="col-sm-8">
                                <input id="medicalDeviceBrand" name="medicalDeviceBrand"  class="form-control" type="text" required>
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-3 control-label">型号：</label>
                            <div class="col-sm-8">
                                <input id="medicalDeviceModel" name="medicalDeviceModel"  class="form-control" type="text" required>
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-3 control-label">名称：</label>
                            <div class="col-sm-8">
                                <input id="medicalDeviceName" name="medicalDeviceName"    class="form-control" type="text" required>
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-3 control-label">IP地址：</label>
                            <div class="col-sm-8">
                                <input id="medicalDeviceIp" name="medicalDeviceIp"  class="form-control" type="text" required>
                            </div>
                        </div>

                        <!--		<div class="form-group">
                                    <label class="col-sm-3 control-label">天线：</label>
                                    <div class="col-sm-8">
                                        <input id="medicalDeviceNum" name="medicalDeviceNum"  th:value="${bean.medicalDeviceNum}"  class="form-control" type="text" required>
                                    </div>
                                </div>-->



                        <div class="form-group">
                            <label class="col-sm-3 control-label">对接协议：</label>
                            <div class="col-sm-8">
                                <input id="connectProtocol" name="connectProtocol"  class="form-control" type="text" required>
                            </div>
                        </div>

                        <!--	<div class="form-group">
                                <label class="col-sm-3 control-label">语音转发IP：</label>
                                <div class="col-sm-8">
                                    <input id="connectProtocol" name="connectProtocol" th:value="${bean.connectProtocol}" class="form-control" type="text" required>
                                </div>
                            </div>-->


                        <div class="form-group">
                            <div class="col-sm-8 col-sm-offset-3">
                                <button type="submit" class="btn btn-primary">提交</button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
<div th:include="include::footer"></div>
<script type="text/javascript" src="/js/appjs/modules/medical/add.js">

</script>
</body>
</html>
